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 Vol. 21 No. 1, January 2009
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AAP Grand Rounds 21:4 (2009)
© 2009 American Academy of Pediatrics

INFECTIOUS DISEASES

More Treatment Options For Obstructive Sleep Apnea

Source: Guilleminault C, Quo S, Huynh NT, Li K. Orthodontic expansion treatment and adenotonsillectomy in the treatment of obstructive sleep apnea in prepubertal children. Sleep. 2008;31(7):953–958.[Medline]

The first 20% of the full text of this article appears below.

Researchers from Stanford University and the University of California San Francisco School of Dentistry evaluated the efficacy of sequential rapid maxillary expansion (RME) using orthodontic treatment and adenotonsillectomy (T&A) in prepubertal children with obstructive sleep apnea (OSA).


PICO

Question: Among children with obstructive sleep apnea requiring both adenotonsillectomy and orthodontic treatment, does the order of correction affect outcome?

Question type: Therapy

Study design: Prospective randomized trial

 

Patients with polysomnogram (PSG)-proven moderate OSA and a recommendation by a multidisciplinary team that both T&A and RME were needed were enrolled.

Study patients were randomized to either T&A or RME as initial treatment; the efficacy of the treatments was assessed by parental reports of symptoms and repeat PSG three and six months post-intervention. If the results of the polysomnogram were abnormal or the child . . . [Full Text of this Article]

Mike Dubik, MD, FAAP
Hospital of the King’s Daughters, Norfolk, VA